Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Facility		$48.46	$48.46	$48.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $46.37 / $48.46	Professional		$42.72	$46.37	$48.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $126.63 / $164.15	Facility		$74.76	$126.63	$164.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $80.51 / $138.02	Professional		$60.97	$80.51	$138.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $134.78	Facility		$66.78	$66.78	$134.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $485.62	Professional		$48.75	$66.78	$485.62
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Facility		$99.60	$99.60	$99.60
United Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $49.49 / $81.45	Professional		$36.75	$49.49	$81.45